Chapter 36 Traumatic Brain Injury

Chapter 36  Traumatic Brain Injury

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient who was in a motor vehicle accident struck her forehead on the windshield of her car after crashing into the back of another car. Given this mechanism of injury, which regions of the brain are most likely to be injured? Select all that apply.
A)
Frontal lobes
B)
Parietal lobes
C)
Occipital lobes
D)
Temporal lobes
E)
Diencephalon
F)
Medulla oblongata

2.
A patient was involved in a fight in which he was struck in the back of the head with a blunt object. Scalp laceration is immediately evident. The nurse suspects cerebral edema and ischemia. On CT scan, it appears that he has contusions and a fractured skull. On neurological assessment, the nurse finds evidence of concussion, as the patient demonstrates short-term memory impairment. Of these findings, which are secondary brain injuries? Select all that apply.
A)
Scalp laceration
B)
Cerebral edema
C)
Ischemia
D)
Contusions
E)
Fractured skull
F)
Concussion

3.
Following cerebral angiography, a patient is found to have carotid artery dissection. What critical complication associated with this injury should the nurse be most concerned about because it could lead to stroke?
A)
Concussion
B)
Hemorrhage
C)
Diffuse axonal injury
D)
Coma

4.
A patient with traumatic brain injury is experiencing cerebral edema, which has led to severely elevated intracranial pressure. He has increased pulse pressure, decreased heart rate, and an irregular respiratory pattern. He has lost consciousness and demonstrates bilateral pupillary dilation. The nurse recognizes that these symptoms point to which condition?
A)
Central herniation syndrome
B)
Uncal herniation syndrome
C)
Cerebrovascular injury
D)
Diffuse axonal injury

5.
A patient with traumatic brain injury is being assessed. This patient demonstrates gross defects in visual acuity on reading a Snellen eye chart. Which cranial nerve is most likely damaged?
A)
Cranial nerve I
B)
Cranial nerve II
C)
Cranial nerve III
D)
Cranial nerve IV

Answer Key

1.
A, C
2.
B, C
3.
B
4.
A
5.
B